| NPI | 1952793895 |
|---|---|
| Former Name | JACQUELINE JEAN SPEER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX S3751) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OS019754) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2021-01-15 |